Active NPI
Arklatex Fertility and Reproductive Medicine
- Ambulatory Fertility Facility
- Shreveport, LA
National Provider Identifier
1184033854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Fertility Facility
- Legal business name
- ARKLATEX FERTILITY AND REPRODUCTIVE MEDICINE
- Practice address
- 2401 Greenwood Rd
Suite a
Shreveport, LA 71103-4010 - Phone
- (318) 841-5800
- Fax
- (318) 841-5817
- NPI assigned
- Aug 7, 2014
- Last updated
- Aug 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Vandermolen, M.D.
- Title
- Director
- Phone
- (318) 841-5800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Fertility Facility | 261QA0006X | Primary | ||
| Women's Health Nurse Practitioner | 363LW0102X | AP0799 | LA |
Addresses
Primary practice location
2401 Greenwood Rd
Suite a
Shreveport, LA 71103-4010
Mailing address
2401 Greenwood Rd
Suite a
Shreveport, LA 71103-4010
Phone (318) 841-5800
National Provider Directory
National Provider Directory- Tax ID family
- Ark la Tex Fertility Reproductive Medicine
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Reproductive Endocrinology Physician
- Shreveport, LA
- NPI 1710246210
Locations
2401 Greenwood Rd
Ste A
Shreveport, LA 71103
Phone (318) 841-5800
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Reproductive Endocrinology Physician
- Shreveport, LA
- NPI 1366462368
-
- Women's Health Nurse Practitioner
- Shreveport, LA
- NPI 1326882754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407369600000",
"number": "1184033854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 GREENWOOD RD",
"address_2": "SUITE A",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034010",
"telephone_number": "318-841-5800",
"fax_number": "318-841-5817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 GREENWOOD RD",
"address_2": "SUITE A",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034010",
"telephone_number": "318-841-5800",
"fax_number": "318-841-5817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKLATEX FERTILITY AND REPRODUCTIVE MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-07",
"last_updated": "2014-08-07",
"status": "A",
"authorized_official_last_name": "VANDERMOLEN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "318-841-5800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA0006X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Fertility Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "LA",
"license": "AP0799",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
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- Ark-la-Tex Spine Apmc
- Ark-la-Tex, LLC
- Arklatex ABA, LLC
- Arklatex Medcare LLC
- Arklatex Medical Consultants a Medical Corporation (River Cities Interventional Pain Specialists)
- Arklatex Medical Consultants a Medical Corporation (Rapid Orthopaedic Care)
- Arklatex Medical Consultants a Medical Corporation (Rapid Orthopaedic Care)
- Arklatex Oral & Maxillofacial Surgery a Partnership of Professional de
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.